Provider Demographics
NPI:1598258204
Name:KEESE, CHRIS ALAN (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:ALAN
Last Name:KEESE
Suffix:
Gender:M
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8207 HORSESHOE MESA TRL
Mailing Address - Street 2:
Mailing Address - City:CORRYTON
Mailing Address - State:TN
Mailing Address - Zip Code:37721-4331
Mailing Address - Country:US
Mailing Address - Phone:865-223-4993
Mailing Address - Fax:865-223-4993
Practice Address - Street 1:5150 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-2342
Practice Address - Country:US
Practice Address - Phone:865-549-5111
Practice Address - Fax:865-521-1370
Is Sole Proprietor?:No
Enumeration Date:2018-06-08
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN24351363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily